Avondale Valley Dental LLC
NPI #1497396113 in Avondale, Arizona
Provider Information
- NPI Number
- 1497396113
- Entity Type
- Organization
- Organization Name
- Avondale Valley Dental LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 3, 2019
- Last Updated
- Oct 3, 2019
Practice Location
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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